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General NPI Number Information
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NPI Number | 1649456120
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Entity Type | Individual
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Provider Name | PAMELA KAY MALONEY PHD,DHM,LAC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 1514 17TH ST STE 203
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City | SANTA MONICA
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State | CA
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Zip | 90404-3444
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Country | US
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Telephone | 310-453-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 OCEAN AVE APT 15
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City | SANTA MONICA
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State | CA
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Zip | 90405-2230
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Country | US
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Telephone | 310-399-5253
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Fax | 310-396-8466
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC6054
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License Number State | CA
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